Joanna Wagner, PA-C
NPI #1174102016 in Selinsgrove, Pennsylvania
Provider Information
- NPI Number
- 1174102016
- Entity Type
- Individual
- Name
- Joanna Wagner, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 7, 2021
- Last Updated
- May 12, 2021
Practice Location
- Address
- 201 ROOSEVELT AVE
- City
- Selinsgrove
- State
- Pennsylvania
- ZIP Code
- 17870-7969
- Phone
- (570) 374-0151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Family Medicine |
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